| NPI | 1851590178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34007567A) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 252373) |
| 1041C0700X Social Worker Clinical (Licence: FL SW006259) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-04-01 |