| NPI | 1801359310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 10412-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW0006558) |
| 1041C0700X Social Worker, Clinical (Licence: IA 114405) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2022024976) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2022-10-10 |