| NPI | 1093469538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11617-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 132595-121) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2024-04-08 |