| NPI | 1215653860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018198) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P018321) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2025-07-22 |