| NPI | 1336459478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012222) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 9780) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2025-01-16 |