| NPI | 1851933022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CW023289) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136428) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-01-11 |