| NPI | 1609289123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-23654) |
| 1041C0700X Social Worker, Clinical (Licence: NV 12843-C) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C017047) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2026-03-10 |