| NPI | 1861164493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW9642) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-02-21 |