| NPI | 1689321978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 17113) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: SC 14561) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2024-12-16 |