| NPI | 1730768409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014489) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW008029) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 7983) | |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00946199) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2022-09-15 |