| NPI | 1043840374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14178) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker (Licence: AL 6568G) | |
| 104100000X Social Worker (Licence: ID 2761577) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2024-11-18 |