| NPI | 1881032696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C009561) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-07-05 |