| NPI | 1679094429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26671) |
| 1041C0700X Social Worker, Clinical (Licence: ME 21642) | |
| 1041C0700X Social Worker, Clinical (Licence: WA 61366170) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 11166-C) | |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2023-12-15 |