| NPI | 1053950592 |
|---|---|
| Former Name | EMMA KATHLEEN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149024470) |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2023-02-01 |