| NPI | 1396422507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A13583) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L30039) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-01-13 |