| NPI | 1053467431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923010) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 258973) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05379900) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 12996868-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW023094) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-06-17 |