| NPI | 1891164810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011243) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 11223) |
| 1041C0700X Social Worker, Clinical (Licence: NC P009897) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2019-08-19 |