| NPI | 1508484833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9818-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 131862-121) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-11-23 |