| NPI | 1407416126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.70001854) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26619) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015676) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW3180) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C014597) | |
| 1041C0700X Social Worker, Clinical (Licence: NC P013578) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928363) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-07-26 |