| NPI | 1962063628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 12619-123) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-10-16 |