| NPI | 1437567732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2276) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 12591) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2019040265) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-04-12 |