| NPI | 1699952663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 30719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6059007-3501) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2024-10-22 |