| NPI | 1942841846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 5028) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 099122) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1726) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2021-12-22 |