| NPI | 1811327380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26959) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021688) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2019029974) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05571000) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW1853) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2023-09-22 |