| NPI | 1689454563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 22138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC TLS.493.CP) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0135791) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 124393) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904016832) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23189) | |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-05-27 |