| NPI | 1346998689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014471) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2024-02-06 |