| NPI | 1306322144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 20009) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012722) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-12-11 |