| NPI | 1831686211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW42435) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 33020) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-06-03 |