| NPI | 1942547245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 7542) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 6318) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2023-09-11 |