| NPI | 1699782870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 896) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 05786) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-05-16 |