| NPI | 1508520644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 18500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008870) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851114089) | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2024-05-29 |