| NPI | 1578104220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142006) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.250692) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018629) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2026-06-26 |