| NPI | 1962843607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 11125) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR 4746) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2017-03-21 |