| NPI | 1306516638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 17019) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 17726) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149016793) | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2024-08-27 |