| NPI | 1225893340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 16623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 259908) |
| 1041C0700X Social Worker, Clinical (Licence: AL 5711c) | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2025-01-06 |