| NPI | 1659733434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID 39008) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-35194) |
| 104100000X Social Worker (Licence: CO 0009920848) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-02-28 |