| NPI | 1871366575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4869C) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2024-07-25 |