| NPI | 1679000855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015857) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012956) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-07-17 |