| NPI | 1386391274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 3174) |
| 1041C0700X Social Worker, Clinical (Licence: SD CSW-PIP-6937) | |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-69833) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW2854) | |
| 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.31526090) | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2025-10-29 |