| NPI | 1306564430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017434) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND P017434) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-16 |