| NPI | 1558884692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ZZ 17052) |
| 1041C0700X Social Worker, Clinical (Licence: OK 7177) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-05-12 |