| NPI | 1053606251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA IOWA00877) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 00877) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2025-08-15 |