| NPI | 1215609763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI LCSW-4816) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-08-23 |