| NPI | 1649784471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012673) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011799) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2024-07-12 |