| NPI | 1902478191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10248-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 130444-121) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-08-21 |