| NPI | 1407433386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012977) |
| 1041C0700X Social Worker, Clinical (Licence: NC C014184) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-08-17 |