| NPI | 1669079158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 4858G) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5187C) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2026-04-09 |