| NPI | 1477372761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: UT 7434446-3502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 7434446-3502) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |