| NPI | 1710692199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 4454G) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 13460) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |