| NPI | 1770312480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 073465) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 073465) |
| 104100000X Social Worker (Licence: IA 073465) | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |