| NPI | 1427601277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013361) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008570A) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2021-09-14 |