| NPI | 1508878299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60407922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149025799) |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-88149) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 1189) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2026-04-15 |