| NPI | 1306248174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010211) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126203) |
| 1041C0700X Social Worker, Clinical (Licence: MN 34785) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 11938) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2026-01-15 |