| NPI | 1003379298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013966) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012898) |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2021-07-07 |