| NPI | 1992152920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L8193) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2022-05-11 |