| NPI | 1124474390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 8723-C) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: NV 8723-C) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2023-04-07 |