| NPI | 1831420645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 4629) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 4329) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2020-09-27 |