| NPI | 1396118436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007356A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 257586) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2026-05-13 |