| NPI | 1669763660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15946) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006942) |
| 1041C0700X Social Worker, Clinical (Licence: HI 4257) | |
| 1041C0700X Social Worker, Clinical (Licence: WA 61331681) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2025-06-27 |