| NPI | 1063173797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014668) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-06-22 |