| NPI | 1902148653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120745) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: MN 30398) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW119576) | |
| 1041C0700X Social Worker, Clinical (Licence: HI 48660) | |
| 1041C0700X Social Worker, Clinical (Licence: WA SC61108012) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2024-02-16 |