| NPI | 1407392111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13760) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 1041C0700X Social Worker, Clinical (Licence: UT 14083193-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW008650.) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 118894) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20327) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW124722.) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2026-05-04 |