| NPI | 1104280510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001501) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-02-10 |