| NPI | 1992587323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 08121) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 08121) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-09-13 |