| NPI | 1376290510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 4492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4492) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-02-08 |