| NPI | 1194209445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930277) |
| 1041C0700X Social Worker, Clinical (Licence: TX 107194) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW124208) | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2024-03-31 |