| NPI | 1871959619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 18731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2013042279) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2026-05-01 |