| NPI | 1174046296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11623) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2026-07-30 |