| NPI | 1760917934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 170934) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AK CSWM1161) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-04-07 |