| NPI | 1588900021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 18829) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW13646) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149020716) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 8504-C) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2020-09-15 |