| NPI | 1073042651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011565) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-05-23 |