| NPI | 1326782673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11126-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 131955-121) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-02-07 |