| NPI | 1942675046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60312005) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2023-02-09 |