| NPI | 1487146718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LCSW40792) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-37466) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2021-08-03 |