| NPI | 1801496468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9590-123) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149022500) | |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2024-04-16 |