| NPI | 1942682356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37120) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-34893) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-08-08 |