| NPI | 1528681731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125299) |
| 104100000X Social Worker (Licence: MA 000225688) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-08-08 |