| NPI | 1003265802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ISW02934) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CSW01965) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-04-29 |