| NPI | 1972111946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015231) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014970) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2025-11-12 |