| NPI | 1124701347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P019571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 23051) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-06-18 |