| NPI | 1104601772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC200002365) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.025148) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-12-22 |