| NPI | 1184275075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9798-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131654-121) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-07-12 |