| NPI | 1750335394 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW15803) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO SW004503) | 
| 1041C0700X Social Worker, Clinical (Licence: KS 3550) | |
| Enumeration Date | 2006-05-19 | 
| Last Update Date | 2025-07-22 |