| NPI | 1801460407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 242868) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2021003367) |
| 1041C0700X Social Worker, Clinical (Licence: TX 110248) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2026-09-02 |