| NPI | 1972143741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4536) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-03-25 |