| NPI | 1528587235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 16623) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C017432) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-08-21 |