| NPI | 1366262966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 14059) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 8076) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |