| NPI | 1568836997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253255) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22229) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34008227A) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2025-06-20 |