| NPI | 1629604079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13532) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008371) |
| 104100000X Social Worker (Licence: MO 2019010868) | |
| 104100000X Social Worker (Licence: TX 59100) | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |