| NPI | 1053773705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09660) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-08755) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-12-14 |