| NPI | 1588824478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018004) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076873) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW11908) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 114912) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 53948) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C013102) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2024-11-27 |