| NPI | 1699172130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014691) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA CW014691) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06112700) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C014817) | |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012026) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 124779) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2024-02-08 |