| NPI | 1669734174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 0752-1821C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 1821C) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2023-05-12 |