| NPI | 1528611290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9745-123) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2021-12-17 |