| NPI | 1811433618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39184) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-36352) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-07-15 |