| NPI | 1124156831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007487) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-9981) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23534) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34011211A) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2025-06-12 |