| NPI | 1003005216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL PIP268-1020C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 268-1020C) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2023-09-05 |