| NPI | 1689229759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV SW071915161) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2024-01-04 |