| NPI | 1154733269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW32657) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 32657) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-06-17 |