| NPI | 1992300313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P014091) |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |