| NPI | 1477118321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 3607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 17233) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-07-12 |