| NPI | 1437520475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926313) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-64557) |
| 1041C0700X Social Worker, Clinical (Licence: OR L14751) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05903900) | |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44272) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 13525882-3501) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2024-06-12 |