| NPI | 1942712500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-41242) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR M6985) |
| 104100000X Social Worker (Licence: ID LMSW-33554) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2022-09-13 |