| NPI | 1033751771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 099661) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 11319) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2023-03-15 |