| NPI | 1861868077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011367) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009811) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-05-06 |