| NPI | 1285940577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27929) |
| 1041C0700X Social Worker, Clinical (Licence: KS 06087) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2025-11-03 |