| NPI | 1174289706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG50083700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001567) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014610) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2023-02-02 |