| NPI | 1164106647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11590-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 132586-121) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-10-17 |