| NPI | 1356723597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 8654-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 16501-132) |
| 1041C0700X Social Worker Clinical (Licence: WI 17046-135) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-05-10 |