| NPI | 1902459092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61688) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2506893) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW026281) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2025023299) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 9914) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801120391) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2025-10-23 |