| NPI | 1205604303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015788) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 16514) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-20 |