| NPI | 1740976232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 134199-121) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 134199) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |