| NPI | 1932662194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82170) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 9946-C) |
| 1041C0700X Social Worker, Clinical (Licence: UT 13217414-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW23125) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L14361) | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2025-02-12 |