| NPI | 1912179284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 6542) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 4147) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2019-01-22 |