| NPI | 1912284274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7700C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4509) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2020-10-13 |