| NPI | 1073206165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30091) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LG50083618) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-02-15 |