| NPI | 1982647848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005113) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-03-02 |