| NPI | 1760883987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-06108) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM I-06108) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-06108) | |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2024-04-11 |