| NPI | 1790446136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018303) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017156) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2025-08-01 |