| NPI | 1114210234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16047) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 1780) |
| 1041C0700X Social Worker, Clinical (Licence: CO 9924250) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 12415-C) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2025-06-16 |