| NPI | 1760671648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-32148) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-28243) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2016-07-14 |