| NPI | 1720563562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017212) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 3571645) |
| 1041C0700X Social Worker, Clinical (Licence: IA 130058) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: FL 4857) | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2026-01-30 |