| NPI | 1992922553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60848587) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW3964) |
| 1041C0700X Social Worker, Clinical (Licence: NY CSW040295) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-01-14 |