| NPI | 1780024513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW4180) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2015-08-24 |