| NPI | 1851879373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 3078) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 96265) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2022-10-17 |