| NPI | 1144699307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8851764) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW 35174) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2025-01-05 |