| NPI | 1447848296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 12843) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 11267-123) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-08-26 |