| NPI | 1780847285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 194005) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-07-11 |