| NPI | 1588442073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 124773) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 121790) |
| 104100000X Social Worker (Licence: OK 8920) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-05-03 |