| NPI | 1598366148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12304276-3501) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61454869) | |
| 1041C0700X Social Worker, Clinical (Licence: ID 6461273) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120792) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 11978-123) | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2024-12-30 |