| NPI | 1285239491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017779) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 66520) |
| 1041C0700X Social Worker, Clinical (Licence: AK 188500) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2025-07-19 |