| NPI | 1073601662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK CSWS1104) |
| 101YP2500X Counselor, Professional (Licence: AK 489) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 10144643-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36300) | |
| 1041C0700X Social Worker, Clinical (Licence: AK 1104) | |
| 106H00000X Marriage & Family Therapist (Licence: GU 125) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-02-28 |