| NPI | 1740513142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61381020) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084963-1) |
| 104100000X Social Worker (Licence: FL SW14160) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 119136) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2023-05-15 |