| NPI | 1912174673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005515) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2019-06-24 |