| NPI | 1487271672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016010) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014761) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2023-05-23 |