| NPI | 1417667536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9246) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 28495) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003200) | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2024-08-14 |