| NPI | 1083273494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015373) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013852) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-10-04 |