| NPI | 1750973590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10622-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 126595) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22548) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 107931) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-11-21 |