| NPI | 1871986893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011732) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008875) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2019-01-14 |