| NPI | 1750863817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932503) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149027874) |
| 104100000X Social Worker (Licence: NJ 44SL06929300) | |
| 104100000X Social Worker (Licence: GA MSW009045) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2026-05-11 |