| NPI | 1871273474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2004007600) |
| 1041C0700X Social Worker, Clinical (Licence: WA w60218770) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW111258) | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |