| NPI | 1144918202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS c10562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 18488) |
| 1041C0700X Social Worker, Clinical (Licence: AL 5877C) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 128158) | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-10-16 |