| NPI | 1790911519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007678) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 11590) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2024-11-19 |