| NPI | 1336775832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 1336775832) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SD 6660) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2024-12-04 |