| NPI | 1336556570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4075C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2011027085) |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008086) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 14857) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-02-24 |