| NPI | 1245726678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1801348-SUPV) |
| 104100000X Social Worker (Licence: OH I.1801348-SUPV) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2025-01-09 |