| NPI | 1760056881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31378) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50083141) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200001893) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2024-11-22 |