| NPI | 1326490004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011022) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 11302) |
| 1041C0700X Social Worker, Clinical (Licence: SC 11302) | |
| 1041C0700X Social Worker, Clinical (Licence: AR 7735-C) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 9860-C) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001945) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2022-09-20 |