| NPI | 1124537006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW25051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 251955) |
| 1041C0700X Social Worker, Clinical (Licence: TX 118854) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW023696) | |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2026-04-21 |