| NPI | 1063604304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004381) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2025-01-31 |