| NPI | 1922671890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P016397) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-08-09 |