| NPI | 1801291729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21595) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M8097) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2024-05-01 |