| NPI | 1790134203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011549) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010432) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2020-10-26 |