| NPI | 1255765277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7640) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M7640) |
| 104100000X Social Worker (Licence: LA 11846) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2024-04-09 |