| NPI | 1710470653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2025046975) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.0009931419) | |
| 1041C0700X Social Worker, Clinical (Licence: ND 6982) | |
| 1041C0700X Social Worker, Clinical (Licence: ID 5271664) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 130403) | |
| 1041C0700X Social Worker, Clinical (Licence: OK 21598) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2026-03-06 |