| NPI | 1952312159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L2448) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-10-24 |