| NPI | 1740864651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 5249C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 5111G) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2023-02-24 |