| NPI | 1932458395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009250) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007458) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2020-01-24 |