| NPI | 1568935989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: HI 4342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4342) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-12-21 |