| NPI | 1891163390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4758C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3301G) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-09-09 |