| NPI | 1629733233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 20197) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW020514) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 87335) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |