| NPI | 1720602279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 100326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12918) |
| 1041C0700X Social Worker, Clinical (Licence: AK 206957) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2023-09-19 |