| NPI | 1073970331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-48094) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-35016) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2024-09-18 |