| NPI | 1548960826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 32507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5651C) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931098) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-12-06 |