| NPI | 1588238570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61499567) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149023234) |
| 1041C0700X Social Worker Clinical (Licence: NV 9309-C) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2024-01-04 |