| NPI | 1801244520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA 0200200) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 123857) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2024-07-25 |