| NPI | 1215439260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11602) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-10344) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2021-09-13 |