| NPI | 1811269830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW25025) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12939754-3501) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC21653) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44957) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 14755) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2025-11-10 |