| NPI | 1740354778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023937) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LCSW-21298) |
| 1041C0700X Social Worker, Clinical (Licence: NY 072468-1) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21298) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-03-13 |