| NPI | 1356625636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011119) |
| 1041C0700X Social Worker, Clinical (Licence: CA 73689) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 09926035) | |
| 1041C0700X Social Worker, Clinical (Licence: PA 020630) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 68047) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2019-08-20 |