| NPI | 1649744145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015026376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61238487) |
| 1041C0700X Social Worker, Clinical (Licence: UT 12994256-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L12885) | |
| 1041C0700X Social Worker, Clinical (Licence: KS LSCSW5088) | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2026-04-16 |