| NPI | 1639467319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 9545) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2024-01-17 |