| NPI | 1912657578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012094) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DE Q3-0010442) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2025-03-26 |