| NPI | 1902379456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9080-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9080) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-01-28 |