| NPI | 1265832737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11278-123) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09929153) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2024-12-03 |