| NPI | 1538712815 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 8462C) | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-07-16 | 
| Last Update Date | 2023-08-12 |