| NPI | 1063809390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5953C) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-10-02 |