| NPI | 1093252405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P015749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011163) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2023-08-16 |