| NPI | 1003388968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C-8449) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M8449) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-02-13 |