| NPI | 1396772026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7579C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW103290) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW10653) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-02-21 |