| NPI | 1639835200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 12623) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 095642) |
| 1041C0700X Social Worker, Clinical (Licence: NE 7627) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-10-02 |