| NPI | 1639561368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9793-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923832) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2024-07-08 |