| NPI | 1841761780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12297) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 10583225-3502) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-07-10 |