| NPI | 1881267540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5027c) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016013) |
| 1041C0700X Social Worker, Clinical (Licence: LA 15192) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 112281) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-05-23 |