| NPI | 1629654918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61108224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW97104) |
| 1041C0700X Social Worker, Clinical (Licence: UT 11976608-3501) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |