| NPI | 1619597267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 5893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC21229) |
| 1041C0700X Social Worker, Clinical (Licence: OR L13096) | |
| 1041C0700X Social Worker, Clinical (Licence: ND 6253) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61324611) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2025-08-26 |