| NPI | 1639774151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023033287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW5755) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149028653) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 340113668A) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 114308) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2025-08-07 |