| NPI | 1598125445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 1056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 36976) |
| 1041C0700X Social Worker, Clinical (Licence: UT 11999193-3501) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2023-01-01 |