| NPI | 1902375249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-12073) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-10563) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2026-08-20 |