| NPI | 1891000782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7355) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 7743066-3506) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2019-01-15 |