| NPI | 1942825054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43346) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-39694) |
| 1041C0700X Social Worker, Clinical (Licence: ID 43346) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-04-24 |