| NPI | 1679348742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2894) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801112130) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34009792A) | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-10-13 |