| NPI | 1679772289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005997) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW006636) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C015982) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 095610) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2025-01-25 |