| NPI | 1790030138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19639) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-10-26 |