| NPI | 1962047225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61184563) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50082115) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082637) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-02-28 |