| NPI | 1316395205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 35832) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID LCSW-40085) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-11-21 |