| NPI | 1396473252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61664478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 34499) |
| 1041C0700X Social Worker, Clinical (Licence: UT 14210213-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW23692) | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2025-04-23 |