| NPI | 1942760137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015221) |
| 1041C0700X Social Worker, Clinical (Licence: WI 9345-123) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC22584) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-04-21 |