| NPI | 1841451457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 3276) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC19526) | |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00945879) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-01-05 |