| NPI | 1477580504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5031C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6019) |
| 1041C0700X Social Worker, Clinical (Licence: KY 258786) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06314900) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 123249) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2025-05-14 |