| NPI | 1851819395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012955) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009921635) |
| 1041C0700X Social Worker, Clinical (Licence: CO 9925296) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2021-06-04 |