| NPI | 1487293411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117629) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW3157) |
| 1041C0700X Social Worker, Clinical (Licence: UT 13429368-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 18102) | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2023-08-24 |