| NPI | 1588364665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017112) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33008774A) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-05-12 |