| NPI | 1134643208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 904015202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO MSCSW00000042) |
| 1041C0700X Social Worker, Clinical (Licence: CA 105543) | |
| 1041C0700X Social Worker, Clinical | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2026-05-12 |