| NPI | 1164009700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111178) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW03803) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW126775) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012708) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-09-23 |