| NPI | 1679191605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66090) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 30447) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09928930) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34011452A) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ 21873) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 32475) | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2025-01-14 |