| NPI | 1376978445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020022757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7783) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 22756) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 09923280) | |
| 1041C0700X Social Worker, Clinical (Licence: HI 4490) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2025-10-03 |