| NPI | 1215650106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 15421) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P020169) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-06-09 |