| NPI | 1144490582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013670) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014772) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 14079) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW126218) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW023205) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2026-02-23 |