| NPI | 1205407350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW42455) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-36545) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-08-22 |