| NPI | 1164948881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09927008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1901398) |
| 1041C0700X Social Worker, Clinical (Licence: LA 10925) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 59600) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 28785) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 254640) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2021-01-28 |