| NPI | 1972976330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6901) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW127437) | |
| 1041C0700X Social Worker, Clinical (Licence: MS C7408) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21565) | |
| 1041C0700X Social Worker, Clinical (Licence: AR 11744-C) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 105365) | |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2024-04-30 |