| NPI | 1114697208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4507C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3844G) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-12-28 |