| NPI | 1760059125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005434A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5710C) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149026193) | |
| 1041C0700X Social Worker, Clinical (Licence: OH i.2304792) | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2025-07-30 |