| NPI | 1982192480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012312) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082256) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927663) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW022658) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.024437) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-12-12 |