| NPI | 1003487174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 11623-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 10296) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-02-28 |