| NPI | 1952923534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 16210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 20033) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.023907) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 00991377) | |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2025-02-11 |