| NPI | 1841708542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CSW.09925648) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO CSW.09925648) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2024-09-25 |