| NPI | 1164175204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014550) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 17750) |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2022-02-14 |