| NPI | 1477627651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012005) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114830) |
| 1041C0700X Social Worker, Clinical (Licence: SC 12947) | |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW02643) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-08-29 |