| NPI | 1689175606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P015724) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 17800) |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2025-05-05 |