| NPI | 1316593809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013509) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2022-08-11 |