| NPI | 1992122584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06506) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60945697) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2024031516) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2024-09-23 |