| NPI | 1356103055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 16519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 16519) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-12-02 |