| NPI | 1013751619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111910) |
| 1041C0700X Social Worker, Clinical (Licence: OR L14917) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149027066) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ 22402) | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-09-11 |