| NPI | 1699152157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929395) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006542) |
| 1041C0700X Social Worker, Clinical (Licence: AL 3995C) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2023-08-01 |