| NPI | 1770047839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9549-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 128160-121) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2023-09-12 |