| NPI | 1053027805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11730-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132637-121) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2024-10-01 |