| NPI | 1720431992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8838) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M8838) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2022-07-12 |