| NPI | 1679135800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2021005449) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2018041834) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904013436) | |
| 1041C0700X Social Worker Clinical (Licence: IL 149.023702) | |
| 1041C0700X Social Worker Clinical (Licence: CO CSW.09927818) | |
| 1041C0700X Social Worker Clinical (Licence: KS LSCSW05665) | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-02-02 |