| NPI | 1720868532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4187) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.135261) |
| 1041C0700X Social Worker, Clinical (Licence: UT 9818474-3501) | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |