| NPI | 1669074035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 011126) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-06-20 |