| NPI | 1114519790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16238) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43826) |
| 1041C0700X Social Worker, Clinical (Licence: NC C016279) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2023-12-01 |