| NPI | 1124644539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015698) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014646) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2025-03-21 |