| NPI | 1891328548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015087) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014234) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2023-05-15 |