| NPI | 1194297630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1803138) |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0405) | |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2024-09-27 |