| NPI | 1427475060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 008417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 5104) |
| 1041C0700X Social Worker, Clinical (Licence: NE 3838) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2025-01-30 |