| NPI | 1942572524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083291) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011307) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 108151) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2023-01-25 |