| NPI | 1518452218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8127832-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2024045389) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22335) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-05-09 |