| NPI | 1952590531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5679-C) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2019-12-26 |