| NPI | 1629055975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17658) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61370884) |
| 1041C0700X Social Worker, Clinical (Licence: HI 3207) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC24311) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2025-02-14 |