| NPI | 1093388118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014832) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014385) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-04-05 |