| NPI | 1003490251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C014633) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW17532) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2023-04-14 |