| NPI | 1447671813 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23928) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 7235-M) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2024-10-24 |