| NPI | 1013480946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 5127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001747) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-10-07 |