| NPI | 1972691186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-11491) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-08-22 |