| NPI | 1699363598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015421) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014729) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2022-10-21 |