| NPI | 1144626417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0096739) |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1251) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 8773-C) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 71394) | |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2024-01-30 |