| NPI | 1811458748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013671) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009922206) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-03-03 |