| NPI | 1891090361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 17237) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7453) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2018-05-24 |