| NPI | 1942716600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.00924630) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 125482) |
| 1041C0700X Social Worker Clinical (Licence: FL TPSW1734) | |
| 1041C0700X Social Worker Clinical (Licence: IA 130625) | |
| 1041C0700X Social Worker Clinical (Licence: NY 094728) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2025-09-22 |