| NPI | 1912421769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 162645) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4485) |
| 1041C0700X Social Worker, Clinical (Licence: NY 096200) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011596) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2025-06-26 |