| NPI | 1285933358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-32949) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-24840) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2023-02-28 |