| NPI | 1982188397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC PO12429) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2022-04-09 |