| NPI | 1184086977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14576) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 8211242-3502) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-08-20 |