| NPI | 1952859258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 005640) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25847) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-10-29 |