| NPI | 1215586862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39941) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW33037) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-04-28 |