| NPI | 1003294836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014027) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33926) |
| 1041C0700X Social Worker, Clinical (Licence: OR L8043) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2023-08-01 |