| NPI | 1568909976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 2988) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 6354) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-05-26 |