| NPI | 1780135608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06755) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 9899455-3502) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2025-04-02 |