| NPI | 1003357724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8479123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8479-123) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2024-01-22 |