| NPI | 1366997322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38473) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-35884) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW38473) | |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-07-27 |