| NPI | 1760893655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7010360-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013133) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 19650) | |
| 1041C0700X Social Worker, Clinical (Licence: FL 19683) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 117526) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61503413) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2025-07-11 |