| NPI | 1215511969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P016631) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 9643) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2025-10-08 |