| NPI | 1275077158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8681) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129671-121) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2025-10-22 |