| NPI | 1376959106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 44244) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 33930) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-10-20 |