| NPI | 1538615562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012957) |
| 1041C0700X Social Worker, Clinical (Licence: KS 05694) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-09-20 |