| NPI | 1205571395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017769) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P017769) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-05-19 |