| NPI | 1770093452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120004) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111075) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1500130) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C013689) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2025-02-14 |