| NPI | 1053955294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014721) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013339) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2022-02-11 |