| NPI | 1720779937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018959) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NC 1226918) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-01-21 |