| NPI | 1225508617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7190) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 222336) |
| 1041C0700X Social Worker, Clinical (Licence: MA 122447) | |
| 1041C0700X Social Worker, Clinical (Licence: RI CSW02357) | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-10-09 |