| NPI | 1871503367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3465) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28848) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-03-01 |