| NPI | 1093430712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C015405) |
| 1041C0700X Social Worker Clinical (Licence: FL 20335) | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-19 |