| NPI | 1932848397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017135) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041S0200X Social Worker, School (Licence: NC 1170058) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-08-26 |