| NPI | 1477922995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ AZ-21371) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 5147) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2025-12-11 |