| NPI | 1407718604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2026-0486) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 16321) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC25561) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2607664) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 32355) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1130577) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 18507) | |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2026-06-19 |