| NPI | 1134565765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL TPSW332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6498) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW020662) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0135458) | |
| 1041C0700X Social Worker, Clinical (Licence: ID MBTSWO-44335) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2024-09-06 |