| NPI | 1174177844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22878) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-08-22 |