| NPI | 1225610728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013828) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2022-08-16 |