| NPI | 1578931515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6380) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6729) |
| 1041C0700X Social Worker, Clinical (Licence: WY 1664) | |
| 1041C0700X Social Worker, Clinical (Licence: MT 70731) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-10-25 |