| NPI | 1457664294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW 30822) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 30822) |
| 1041C0700X Social Worker Clinical (Licence: ID LMSW-26735) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2024-09-27 |