| NPI | 1770020109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010742) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 009435) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2018-03-17 |