| NPI | 1588904049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-45118) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 9569161-3502) |
| 1041C0700X Social Worker, Clinical (Licence: UT 9569161-3501) | |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2024-10-16 |