| NPI | 1508387168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24804) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7364) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2023-07-06 |