| NPI | 1922559871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 17572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 004048) |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2016-10-16 |