| NPI | 1861843880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012508) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010683) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2021-10-06 |