| NPI | 1306516737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 13414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008737) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149006603) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |