| NPI | 1528659190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012129) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2003-C) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2022-01-31 |