| NPI | 1205516580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 18093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3630C) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-06-03 |