| NPI | 1275294001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2020004157) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L12501) |
| 1041C0700X Social Worker Clinical (Licence: IL 149023680) | |
| 1041C0700X Social Worker Clinical (Licence: WA LW61189634) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-06-13 |