| NPI | 1932597382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009772) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P008411) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2016-02-10 |