| NPI | 1144204678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003685) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149001280) |
| 1041C0700X Social Worker, Clinical (Licence: TX S22135) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2024-05-17 |