| NPI | 1679591416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 2152) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 6145) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-11-09 |