| NPI | 1518271253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6130428-3501) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2025-03-27 |