| NPI | 1144096470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018269) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2025-04-16 |