| NPI | 1205097938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018891) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW7802) | |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-1013) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-04-25 |