| NPI | 1831856145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 23075) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 19639) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2026-02-03 |