| NPI | 1255001434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022046) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126266) |
| 1041C0700X Social Worker, Clinical (Licence: IA 117887) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 28517) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06238100) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C016681) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 89.0134549) | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2025-05-11 |