| NPI | 1003265521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 37571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 1408) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2026-06-08 |