| NPI | 1962138388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 11984-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132839-121) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-02-12 |