| NPI | 1760159875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259663) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 255349) |
| 104100000X Social Worker (Licence: KY 256121) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34012694A) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2026-03-18 |