| NPI | 1992458376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 9862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9862-123) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-03-12 |