| NPI | 1093177719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-31238) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-04-24 |