| NPI | 1982857934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 5158-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 8233) |
| 1041C0700X Social Worker, Clinical (Licence: IA 082139) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2021-11-03 |