| NPI | 1033752266 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006569A)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149023264)  | 
| 1041C0700X Social Worker, Clinical (Licence: OH I.2204100)  | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW026595)  | |
| 1041C0700X Social Worker, Clinical (Licence: TN 9158)  | |
| Enumeration Date | 2019-10-21 | 
| Last Update Date | 2025-10-16 |