| NPI | 1396444071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS c10500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 13597854-3504) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-10-17 |