| NPI | 1083162028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1656) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 4814) |
| 1041C0700X Social Worker, Clinical (Licence: NV 9418-C) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2024-07-16 |