| NPI | 1952150021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017286) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 30966) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-10-04 |