| NPI | 1780354738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 1271753) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID SE203781) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61519180) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-03-24 |