| NPI | 1871898437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12473) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 4488) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61300559) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2024-11-25 |