| NPI | 1821669037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10231-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34012465A) |
| 104100000X Social Worker (Licence: WI 131275-121) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 127301) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2026-01-13 |