| NPI | 1649258435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 75) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1240 LMHP) |
| 1041C0700X Social Worker, Clinical (Licence: NE 743 CMSW) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-08-23 |