| NPI | 1407094584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14349) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 32462) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW11056) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW007508) | |
| 1041C0700X Social Worker, Clinical (Licence: AK 201226) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 17686) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2026-06-03 |