| NPI | 1720462328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116231) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 113698) |
| 1041C0700X Social Worker, Clinical (Licence: FL 25693) | |
| 1041C0700X Social Worker, Clinical (Licence: MT 64461) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 09932440) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ 22802) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2026-04-27 |