| NPI | 1407476674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34008828A) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I.2002134) |
| 1041C0700X Social Worker Clinical (Licence: ID LCSW-38618) | |
| 1041C0700X Social Worker Clinical (Licence: WA LW60713151) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |