| NPI | 1093556821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 05273) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |