| NPI | 1609184282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007413) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 007413) |
| 1041C0700X Social Worker, Clinical (Licence: CT 16671) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C015271) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018517) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2026-04-16 |