| NPI | 1255934287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11688) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A10288) |
| 1041C0700X Social Worker, Clinical (Licence: OR A10288) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-09-16 |