| NPI | 1528636248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 107886) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 107886) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-01-30 |