| NPI | 1982497681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 258771) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34011110A) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-06-05 |