| NPI | 1912901984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1031) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2373) |
| 1041C0700X Social Worker, Clinical (Licence: CT 004898) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2023-12-28 |