| NPI | 1891014650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7646) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127449-121) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2015-06-05 |