| NPI | 1770958191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 2543) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6675) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |