| NPI | 1134363138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 18161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 362) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW023712) | |
| 1041S0200X Social Worker, School (Licence: CO 362) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2025-06-30 |