| NPI | 1750662110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.011157) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 20010) |
| 1041C0700X Social Worker, Clinical (Licence: ND 4416) | |
| 1041C0700X Social Worker, Clinical (Licence: SD 2808) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 3655) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 1351) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 007429) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 757-123) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801091802) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |