| NPI | 1588122253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 11058-C) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23245) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW126988) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2405982) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2025-07-17 |