| NPI | 1215651542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015088) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2023022890) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW023843) | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2023-07-26 |