| NPI | 1982002119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10168) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5046C) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2023-12-04 |