| NPI | 1629738687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112868) |
| 1041C0700X Social Worker, Clinical (Licence: NC C015850) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801115819) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 9368) | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2025-07-21 |