| NPI | 1952889107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014128) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012605) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2021-08-20 |