| NPI | 1396092458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 33116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC22240) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06240400) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW12027) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 081413-1) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2024-03-21 |