| NPI | 1275138141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: MD 24689) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904017447) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW4593) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2025-07-08 |