| NPI | 1003366519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P010466) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014013) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2022-10-05 |