| NPI | 1447616552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SD 4931) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5062) |
| 1041C0700X Social Worker, Clinical (Licence: SD 4931) | |
| 1041C0700X Social Worker, Clinical (Licence: ND 5062) | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2021-01-19 |