| NPI | 1275914897 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925963) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095061) | 
| 1041C0700X Social Worker, Clinical (Licence: AZ 22920) | |
| Enumeration Date | 2015-06-10 | 
| Last Update Date | 2025-08-18 |