| NPI | 1851912398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013873) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P013171) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2021-05-10 |