| NPI | 1215752043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ISW03788) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI 9567) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |