| NPI | 1962977900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50081615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17828) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2019-10-03 |