| NPI | 1386875151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-09378) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA 004136) |
| 1041C0700X Social Worker Clinical (Licence: FL SW11166) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2023-09-18 |