| NPI | 1922490101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 3264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2021032980) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2021-09-01 |