| NPI | 1255941225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19263) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2024038897) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2025-04-28 |