| NPI | 1558783506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C09490) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM C-09490) |
| 1041C0700X Social Worker Clinical | |
| 1041C0700X Social Worker Clinical (Licence: NM M-08378) | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2024-05-09 |