| NPI | 1043626492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC P008804) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008804) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-12-16 |