| NPI | 1720555162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012916) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011320) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-07-15 |