| NPI | 1952787814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21660) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20319) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50079827) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 106711) | |
| 1041S0200X Social Worker, School (Licence: DC LC50079827) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2023-05-18 |