| NPI | 1659737740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007952A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801092790) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60750646) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2023-10-16 |