| NPI | 1861833451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 19021) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 19021) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2022-07-28 |