| NPI | 1891204913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011397) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2020-08-12 |