| NPI | 1740792274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012274) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC 010305) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2021-12-10 |