| NPI | 1841535267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-34217) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-32352) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2021-10-25 |