| NPI | 1841825643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 4265C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2019036900) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904014825) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2024-02-06 |