| NPI | 1114532314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C8654) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 13075) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-05-22 |