| NPI | 1952791501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008039) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2023-10-20 |