| NPI | 1053501718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 12176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3635) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-12-06 |