| NPI | 1104882398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-3193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW#3193) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-02-02 |