| NPI | 1376859918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22992) |
| 1041C0700X Social Worker, Clinical (Licence: CA 127736) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149029343) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2025-09-09 |