| NPI | 1912195934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 0000005666) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2020-07-14 |