| NPI | 1881367704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112651) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV LICSW4965) |
| 1041C0700X Social Worker, Clinical (Licence: NH LICSW4965) | |
| 1041C0700X Social Worker, Clinical (Licence: OH LISW12304972) | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-06-14 |