| NPI | 1790250918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 5306C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3751G) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2023-04-17 |