| NPI | 1972202810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015726) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-06-02 |