| NPI | 1154456119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 3001) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1189) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-02-12 |