| NPI | 1770301665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259696) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34012311A) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-10-22 |