| NPI | 1063209468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND P020127) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251S00000X Community/Behavioral Health (Licence: NC P020127) | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-06-06 |