| NPI | 1578925228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-1330) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW34923) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-10-11 |