| NPI | 1609521566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015461) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C015461) |
| 1041C0700X Social Worker, Clinical (Licence: NC P015130) | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-11-29 |