| NPI | 1073236709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66987) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2220-123) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW04324) | |
| 1041C0700X Social Worker, Clinical (Licence: NH 5226) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801119389) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-05-20 |