| NPI | 1184273898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C014964) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P014105) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2025-04-14 |