| NPI | 1871972273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 20012) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 11532) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: LA 11532) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-08-29 |