| NPI | 1679929350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-45406) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33852) |
| 104100000X Social Worker (Licence: ID LCSW-45406) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2025-03-27 |