| NPI | 1831696608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3945C) |
| Additional Taxonomies | 261QM0801X (Licence: AL 3945C) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2020-10-15 |