| NPI | 1831242296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 11144) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904015785) |
| 1041C0700X Social Worker Clinical (Licence: TX 107664) | |
| 1041C0700X Social Worker Clinical (Licence: AZ LCSW2353) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-10-01 |