| NPI | 1477391472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259489) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2024016009) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904017208) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2405757) | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-10-25 |