| NPI | 1508425547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61169653) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149027046) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014795) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 114763) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-12-31 |