| NPI | 1518537448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12010-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 132350-121) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2025-04-11 |