| NPI | 1346974276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9999-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 9999-123) |
| 251S00000X Community/Behavioral Health (Licence: WI 9999-123) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-07-26 |