| NPI | 1508112145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7738-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 5676866-3501) |
| 1041C0700X Social Worker, Clinical (Licence: UT 5676866-3501) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2021-07-09 |