| NPI | 1649646340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4715) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 3439) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2024-05-14 |