| NPI | 1811127822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4952) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 18243) |
| 1041C0700X Social Worker, Clinical (Licence: ND 4297) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2019-09-06 |