| NPI | 1104912963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004864A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 16894) |
| 1041C0700X Social Worker, Clinical (Licence: CA 105921) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 124132) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW18247) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2103027) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-05-22 |