| NPI | 1275170177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 6095C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 4910G) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2025-03-13 |