| NPI | 1285239087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 209409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61509337) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW4575) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-11-07 |