| NPI | 1164895579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34010038A) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801094277) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2026-04-06 |