| NPI | 1891260626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 117905) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C010870) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-10-11 |