| NPI | 1124595152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5979C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 6671732) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09931154) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-11-19 |