| NPI | 1568078681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43180) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID Lmsw-39858) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-02-14 |