| NPI | 1396445185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12931-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 124662) |
| 1041C0700X Social Worker, Clinical (Licence: MN 14064) | |
| 104100000X Social Worker (Licence: WI 2120-121) | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2026-05-30 |