| NPI | 1932331659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21822) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 20540) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC7675) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2025-04-27 |