| NPI | 1508391202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 115560) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 000630) |
| 1041C0700X Social Worker Clinical (Licence: OH I.2304211) | |
| 1041C0700X Social Worker Clinical (Licence: HI 4949) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-09-27 |