| NPI | 1689980393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93399) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC LISW9656) |
| 1041C0700X Social Worker, Clinical (Licence: TX 54866) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW9933) | |
| 1041C0700X Social Worker, Clinical (Licence: WA 61116395) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2024-09-18 |