| NPI | 1861701815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4336C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10000) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2020-11-30 |