| NPI | 1649724055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-11439) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-09690) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2022-07-19 |