| NPI | 1346099751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SBW2024-0431) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |