| NPI | 1548884901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254544) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34009558A) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2026-05-19 |