| NPI | 1184810863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07007) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW4892) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2304778) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2018043959) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2025-05-17 |