| NPI | 1780244889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4371C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013575) |
| 1041C0700X Social Worker, Clinical (Licence: MA 125682) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2026-07-06 |