| NPI | 1003381344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53459) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C9915) |
| 1041C0700X Social Worker, Clinical (Licence: NM C-11665) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19228) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.023367) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 255808) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 12476544-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 9802-123) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2022-07-28 |