| NPI | 1548855661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 15764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 24772) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-10-13 |