| NPI | 1578987293 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13292)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006388)  | 
| 1041C0700X Social Worker, Clinical (Licence: AL SW4928C)  | |
| 1041C0700X Social Worker, Clinical (Licence: KS LSCSW-05641)  | |
| 1041C0700X Social Worker, Clinical (Licence: MN 30599)  | |
| 1041C0700X Social Worker, Clinical (Licence: ID lcsw-41553)  | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW022319)  | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW005732)  | |
| Enumeration Date | 2014-02-17 | 
| Last Update Date | 2023-02-28 |