| NPI | 1639647837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 12313-C) |
| 1041C0700X Social Worker, Clinical (Licence: CT 14334) | |
| 1041C0700X Social Worker, Clinical (Licence: ID 2371289) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06423900) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC24034) | |
| 111N00000X Chiropractor (Licence: NY 013113) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 14251829-3501) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2025-10-27 |