| NPI | 1639809718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 17504) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-12-29 |