| NPI | 1942797089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC70047481) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 10913-M) |
| 225C00000X Rehabilitation Counselor | |
| 104100000X Social Worker (Licence: TX 116649) | |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2025-12-11 |