| NPI | 1326607417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928294) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX TPSW753) |
| 1041C0700X Social Worker, Clinical (Licence: NH TPSW753) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 118829) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C013683) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2026-03-04 |