| NPI | 1053838482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11932) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-10077) |
| 104100000X Social Worker (Licence: NM X-10046) | |
| 1041S0200X Social Worker, School (Licence: NM M-10077) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2023-12-13 |