| NPI | 1841820164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012222) |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2022-11-15 |