| NPI | 1073937678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 3551) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 3213) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-01-29 |