| NPI | 1164936449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P011945) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 104100000X Social Worker (Licence: NC P011945) | |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2022-07-21 |