| NPI | 1083652739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2054C-S) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1440) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2025-08-13 |