| NPI | 1790364602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 34018) |
| 1041C0700X Social Worker, Clinical (Licence: AL 6471C) | |
| 1041C0700X Social Worker, Clinical (Licence: RI 04745) | |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00947353) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 06944) | |
| 1041C0700X Social Worker, Clinical (Licence: DC 200004428) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2026-05-28 |