| NPI | 1700096831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 1999137993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2162) |
| 1041C0700X Social Worker, Clinical (Licence: MN 33844) | |
| 1041C0700X Social Worker, Clinical (Licence: AR 12439-C) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-01-13 |