| NPI | 1912705542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 14095) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |