| NPI | 1750532461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005755) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2024-07-02 |