| NPI | 1578929501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.61587646) |
| 1041C0700X Social Worker, Clinical (Licence: AL 5537C) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW128600) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1143706) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L15715) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801115319) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2026-09-01 |