| NPI | 1821395732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37745) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-34441) |
| Enumeration Date | 2011-02-12 |
| Last Update Date | 2024-09-03 |