| NPI | 1104561521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-42534) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33384) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-09-06 |