| NPI | 1922100585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004881) |
| Additional Taxonomies | 261QM0801X (Licence: NC C004881) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2020-05-19 |