| NPI | 1871596510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009166) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904003626) |
| Enumeration Date | 2005-05-25 |
| Last Update Date | 2020-09-30 |