| NPI | 1376908533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014966) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 31367) |
| 1041C0700X Social Worker, Clinical (Licence: MS C11020) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 000124632) | |
| 1041C0700X Social Worker, Clinical (Licence: VI 0-51755-1B) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 68965) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW2600) | |
| 1041C0700X Social Worker, Clinical (Licence: WV TH00946107) | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-05-22 |