| NPI | 1306229364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012031) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2017009429) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-08-13 |