| NPI | 1902156599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8553) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3054G) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2022-05-31 |