| NPI | 1811352867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 33284) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |