| NPI | 1992283436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC14799) |
| 1041C0700X Social Worker, Clinical (Licence: MA 110305) | |
| 1041C0700X Social Worker, Clinical (Licence: OK 21323) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2026-03-10 |