| NPI | 1487157855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 5460) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 135587) |
| 1041C0700X Social Worker, Clinical (Licence: MN 29796) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2025-12-16 |