| NPI | 1225579535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7530-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 19859) |
| 1041C0700X Social Worker, Clinical (Licence: MD 29667) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.15014-SUPV) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2025-01-07 |