| NPI | 1942426457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008096) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-04-10 |