| NPI | 1477102127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 23515) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 25315) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-01-02 |