| NPI | 1093100760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 1413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 7858) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-09-19 |