| NPI | 1770502668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 00698) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C001703) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-11-16 |