| NPI | 1891164810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011243) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009897) |
| 104100000X Social Worker (Licence: SC 11223) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2025-12-12 |