| NPI | 1477797397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR26075700) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06267800) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018512) | |
| 163W00000X Registered Nurse (Licence: PA RN749622) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928598) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60395422) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2025-11-08 |