| NPI | 1245980440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10418028-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 12323-C) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61684330) | |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1782) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 116563) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-07-29 |