| NPI | 1053859751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 10412) |
| 1041S0200X Social Worker, School (Licence: LA 10412) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2023-01-13 |