| NPI | 1194211250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p012440) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-07-27 |