| NPI | 1750335394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 004503) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW15803) |
| 1041C0700X Social Worker, Clinical (Licence: KS 3550) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-01-29 |