| NPI | 1275984668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 0007850) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2025-04-18 |