| NPI | 1164281713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11880-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 29063) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-08-14 |