| NPI | 1710939152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7999) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5227) |
| 1041C0700X Social Worker, Clinical (Licence: CA 94708) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.028360) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-07-02 |