| NPI | 1366865750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C9423) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 9351) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2021-12-21 |