| NPI | 1972982775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83415) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20246) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-41180) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 9841-C) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-10-16 |