| NPI | 1104424399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013864) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10969) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2022-11-10 |