| NPI | 1205580800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017339) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014511) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2025-05-19 |