| NPI | 1073152336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC PO14249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014249) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2022-06-09 |