| NPI | 1174250880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 17736) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P018062) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2025-07-14 |