| NPI | 1134210958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 8383) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 8383) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-05-18 |