| NPI | 1669109583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 16780) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 14505) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-05-08 |