| NPI | 1851799563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254886) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149022501) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2023-06-14 |