| NPI | 1942219662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927855) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801077340) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.011230) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 079826-1) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW005339) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-03-24 |