| NPI | 1629629480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4921C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 34629) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-05-21 |