| NPI | 1275273179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007947) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 90300003372) |
| 104100000X Social Worker (Licence: KY 256309) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |