| NPI | 1558745141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 12650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 61016) |
| 1041C0700X Social Worker, Clinical (Licence: SC 1856) | |
| 1041C0700X Social Worker, Clinical (Licence: DC 200001205) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012441) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2026-07-22 |