| NPI | 1669884482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM C-12174) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-12174) |
| 1041C0700X Social Worker, Clinical (Licence: NM X-08444) | |
| 1041C0700X Social Worker, Clinical (Licence: NM M-08877) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-10-17 |