| NPI | 1376137885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 11370) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06010200) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L12556) | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-08-24 |