| NPI | 1124123229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011972) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008005) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW68367) | |
| 1041C0700X Social Worker, Clinical (Licence: NM C-11422) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-06-07 |