| NPI | 1578189734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013266) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-10-03 |