| NPI | 1881250405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7676) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-02-19 |