| NPI | 1902352099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011825) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010578) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-02-11 |