| NPI | 1114118148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 0773-1985C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C9861) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2025-02-10 |