| NPI | 1821441460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C014317) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P010790) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2022-05-04 |