NPI | 1730870791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61651111) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06723800) |
Enumeration Date | 2023-05-18 |
Last Update Date | 2025-07-17 |