| NPI | 1558721084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 12532) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C011103) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2023-12-27 |