| NPI | 1851188767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017897) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019471) |
| 1041C0700X Social Worker, Clinical (Licence: SC TLS1990CP) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 9159) | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2026-08-21 |