| NPI | 1255510111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW003858) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 13501) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW015737) | |
| 1041C0700X Social Worker, Clinical (Licence: OH 0700101) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2023-12-05 |