| NPI | 1669651030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18148) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 124193) |
| 1041C0700X Social Worker, Clinical (Licence: TX 106311) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC21520) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 0890001176) | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2023-06-21 |