| NPI | 1134645336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018138) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00944751) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2025-03-10 |