| NPI | 1235700402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C018481) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: NC C018481) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2025-08-18 |