| NPI | 1588159420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14105) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 10605-C) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2002029) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21629) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C015742) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2024-05-31 |