| NPI | 1821350802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009146) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 17935) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2015-12-22 |