| NPI | 1639612237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6061) |
| 1041C0700X Social Worker, Clinical (Licence: SD 3468) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 106722) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 29540) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2021-06-08 |