| NPI | 1932710506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015002) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2023-06-12 |