| NPI | 1699214379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007700A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018118) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20290) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06111800) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-01-09 |