| NPI | 1801362454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 011283) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 004501) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2025-08-20 |