| NPI | 1619333036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011219) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010141) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-04-17 |