| NPI | 1003585464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID 41110) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-41110) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-08-01 |