| NPI | 1184271686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS c10505) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS M8210) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-04-12 |