| NPI | 1417422460 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16988) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 16988) | 
| Enumeration Date | 2018-10-05 | 
| Last Update Date | 2025-01-06 |