| NPI | 1467812412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61236439) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55972) |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-62340) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L14085) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 13600405-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37247) | |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1725) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2025-01-10 |