| NPI | 1801143292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 2537) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 8274-C) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2022-01-09 |