| NPI | 1659994432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012643) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-04-24 |