| NPI | 1720317589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-34676) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW 26814) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2023-06-14 |