| NPI | 1104536291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ 23027) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 15952) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2025-06-02 |