| NPI | 1649700915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW020897) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2002074) | |
| 104100000X Social Worker (Licence: NY 116672) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-06-16 |