| NPI | 1023656113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014588) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P013846) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2024-01-29 |