| NPI | 1538700562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C10887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5540C) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-02-20 |