| NPI | 1346087731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P020932) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 104100000X Social Worker (Licence: NC P020932) | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-09-23 |