| NPI | 1821584715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010875) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-04-07 |