| NPI | 1124430970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-44620) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 33168) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-02-27 |