| NPI | 1952967457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P021696) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-01-13 |