| NPI | 1023413887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009444) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C010346) |
| 1041C0700X Social Worker, Clinical (Licence: NC p008649) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 13800) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 254482) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2024-10-10 |