| NPI | 1891405262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017856) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2025-01-29 |