| NPI | 1285117648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C0132332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012830) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929417) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2025-05-21 |