| NPI | 1740739648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 0000007581) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-07-03 |