| NPI | 1740700384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P011611) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931731) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120487) | |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2025-04-29 |