| NPI | 1548734155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 21345) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 17361) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2024-03-20 |