| NPI | 1942785589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014657) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012935) |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2024-04-23 |