| NPI | 1972842987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C015386) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041C0700X Social Worker Clinical (Licence: MA 118423) | |
| 104100000X Social Worker (Licence: MA 118423) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2023-07-24 |