| NPI | 1215610761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 013131) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-09-18 |