| NPI | 1881253631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 088389) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 000923120) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2025-12-09 |