| NPI | 1164949038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007951) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 32929) |
| 1041C0700X Social Worker, Clinical (Licence: KS LSCSW06280) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-03-13 |