| NPI | 1821524166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10002-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 130532121) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2025-05-08 |