| NPI | 1760629166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 5604982-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 5604982-3503) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2025-05-06 |