| NPI | 1568340669 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 33488) |
| 104100000X Social Worker (Licence: NY 124799) | |
| 104100000X Social Worker (Licence: ME MC24456) | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |