| NPI | 1710504980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008453A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2607970) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1143204) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 257408) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149031202) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2026-06-10 |