| NPI | 1861730368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2017023471) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34005766A) |
| 1041C0700X Social Worker Clinical (Licence: OR L6137) | |
| 1041C0700X Social Worker Clinical (Licence: KS 4717) | |
| 1041C0700X Social Worker Clinical (Licence: GA CSW005077) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2019-11-22 |