| NPI | 1245851294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097729) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926643) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW4558) | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2025-02-03 |