| NPI | 1811152275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9472) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2021-09-01 |