| NPI | 1760807283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2024030134) |
| 101Y00000X Counselor | |
| 1041C0700X Social Worker, Clinical (Licence: CA 101649) | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2026-05-01 |