| NPI | 1073706743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 3653) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3653) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2025-08-18 |