| NPI | 1912311937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OH 0) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2023-12-15 |