| NPI | 1164720124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016031) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23530) | |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012203) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34006748A) | |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2024-05-24 |