| NPI | 1295470078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 92766) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW03638) | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2023-01-19 |