| NPI | 1043517105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5068) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LCSW-37109) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2023-10-24 |