| NPI | 1174996185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10098-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 169366) |
| 1041C0700X Social Worker, Clinical (Licence: NH 2934) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928668) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC21858) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2024-04-02 |